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What is Bicornuate Uterus?
“ Cornu ” entail horn , the uterus has two horns , hence the name bicornate womb . It is characterized by heart - mold uterus , with a wall inside and a fond split outdoors . Bicornuate uterus is the most inborn uterine anomaly seen due to non - merger of mullerian ducts . This condition mainly affects the procreative capability of women . Bicornuate uterus is see in around 1 - 5/1000 US women . The shape of the uterus plays an significant character as this limit the position of the baby ( Transverse prevarication /longitudinal prevarication / oblique lie ) in the uterus during pregnancy . Bicornuate uterus is undiagnosed until a charwoman gets significant or in process of conception .
Causes of Bicornuate Uterus:
Bicornuate womb is mainly due to unnatural coalition of mesonephric duct ( mullerian ducts ) that happens during embryogenesis in the first few months of pregnancy which leads to this congenital malformation .
Normal development of Mullerian canal depends on organogenesis , nuclear fusion and septate reabsorption . Organogenesis is characterized by fusion of both the duct , failure in this cognitive process go to uterine agenesia / hypoplasia or unicornuate womb . Fusion is characterize by fusion of the ducts to work womb , loser in this appendage leads to bicornuate or didelphys uterus . septate reabsorption is of the cardinal septum once the merger of ducts are double-dyed , failure in this process leads to septate or bowed uterus.1
The wollfian body and Muller ’s duct plays an important part in the development of reproductive system of the female . The metre at which the arrest in the growth takes place see the level of abnormality in the procreative arrangement . The apprehension in the 12th hebdomad of development and the non - nuclear fusion of Mullerian ducts leads to duplication of uterus . If the fusion happens soon after this period of gestation , it ensue in bicornuate uterus.2
Symptoms of Bicornuate Uterus :
Bicornuate Uterus Pregnancy:
Bicornuate womb is gamy - risk pregnancy as the foetus begins to recrudesce in any one cornet of the gestation , and the pregnancy does not last as there is not enough space for growth and results in spontaneous abortion . Higher levels of Lipo-Lutin have to be given to sustain the pregnancy . degree centigrade – surgical incision is the only option in this variety of pregnancy .
Complications of Bicornuate Uterus
Diagnosis of Bicornuate Uterus
Hysterosalphingogram ( HSG ) – This uses x - ray method acting to analyse the uterus and patency of fallopian tubes . Fluoroscopy is used to carry out the examination along with direct contrast cloth .
Hysteroscopy : It is done by introduce a hysteroscope to catch the interior of uterus .
Ultrasound : The pelvic ultrasound ply a good picture of uterus and pelvic organs .
Laparoscopy : This is a character of surgical procedure in which the doctor will insert a fiber oculus tool through the rampart of abdomen and this surgical operation helps in diagnosis of bicornate uterus and perform if any minor surgery is required .
The correct diagnosis is very significant , to secernate between septate womb and bicornuate womb as the treatment option for these two conditions are dissimilar .
Treatment of Bicornuate Uterus
The rehabilitative operating room for Bicornuate Uterus is called as Laparoscopic metroplasty . This operation for Bicornuate Uterus is associated with fewer tortuousness let in haemorrhage , adhesion formation and continuance of hospitalization.3
Hysteroscopic metroplasty can also be performed to treat Bicornuate Uterus . This operating theater avert uterine cicatrice and want for elected C - section . The septum is resected with resectoscope or scissors.4
Success Rate of Surgery for Bicornuate Uterus
This surgery has high success rates in improving the fertility and pregnancy issue . The pregnancy can be continued till full terminal figure with successful bringing of the child .
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